| Ottertail Dental | |
|
1409 College Way Fergus Falls MN 56537-1055 | |
| (218) 739-3245 | |
| (218) 739-5626 |
| Full Name | Ottertail Dental |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 1409 College Way, Fergus Falls, Minnesota |
| Authorized Official Name and Position | Sonja Ann Johnson (BUSINESS MANAGER) |
| Authorized Official Contact | 2187393245 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ottertail Dental 1409 College Way Fergus Falls MN 56537-1055 Ph: (218) 739-3245 | Ottertail Dental 1409 College Way Fergus Falls MN 56537-1055 Ph: (218) 739-3245 |
| NPI Number | 1528673365 |
|---|---|
| Provider Enumeration Date | 09/09/2020 |
| Last Update Date | 09/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528673365 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | (* (Not Available)) | Primary |
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